Fracture of unspecified part of scapula, unspecified shoulder
ICD-10 S42.109 is a billable code used to indicate a diagnosis of fracture of unspecified part of scapula, unspecified shoulder.
The S42.109 code refers to a fracture of an unspecified part of the scapula, which is a bone that connects the upper arm bone (humerus) to the collarbone (clavicle). This type of fracture can occur due to trauma, such as falls or accidents, and may present with pain, swelling, and limited range of motion in the shoulder. The scapula is a complex bone with several anatomical parts, including the body, spine, and glenoid cavity, and fractures can vary in severity. Patients may experience associated injuries, such as dislocations of the shoulder joint or fractures of the humerus. Diagnosis typically involves physical examination and imaging studies like X-rays or CT scans. Treatment may range from conservative management, including rest and physical therapy, to surgical intervention, depending on the fracture's location and severity. Understanding the specifics of the injury is crucial for appropriate management and coding.
Detailed notes on the mechanism of injury, fracture type, and treatment plan.
Fractures resulting from falls, sports injuries, or vehicular accidents.
Ensure clarity on whether the fracture is isolated or part of a more complex injury.
Assessment of functional limitations and rehabilitation goals.
Post-fracture rehabilitation and management of shoulder mobility.
Document progress and response to therapy to support ongoing treatment.
Used when surgical intervention is required for a scapular fracture.
Operative report detailing the procedure and findings.
Orthopedic surgeons must document the specifics of the fracture and repair.
Use S42.109 when the specific part of the scapula is not documented or when the fracture is still under evaluation. However, strive for specificity whenever possible to ensure accurate coding.
